caa a22 4500 445309539 CHVBK 20180317142624.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s00404-011-1872-3 doi (NATIONALLICENCE)springer-10.1007/s00404-011-1872-3 Identification of antenatal depression in obstetric care [Elektronische Daten] [Judith Alder, Nadine Fink, Corinne Urech, Irene Hösli, Johannes Bitzer] Purpose: Detection rates of depression in obstetric care are generally low, and many women remain undiagnosed and do not receive adequate support. In many obstetric settings, screening tools for depression are not applied routinely and there is a great need to sensitize health care professionals for the patient at risk for enhanced levels of depression. The present study aimed at identifying commonly assessed patient characteristics that are associated with antenatal depression. Methods: One hundred and thirty seven women were screened using the Edinburgh Postnatal Depression Scale (EPDS) at the beginning of the second trimester at the outpatient department of a Tertiary University Hospital. Women were identified as at high risk for depression if scores were above a cut-off score of twelve. Obstetric history and outcome were extracted from patient files after delivery. Results: Twenty one percent of the sample screened as depression positive. Logistic regression with backwards elimination showed that the triad of nausea during pregnancy, reports of (premature) contractions and consumption of analgesics during pregnancy significantly predicted high depression scores with a positive predictive value of 84.3%. The relative risk for a depressed pregnant woman to regularly take analgesics during pregnancy was fourfold higher than for non-depressed women. Conclusions: If depression screening is not part of routine prenatal care, systematic assessment of depression should be targeted for patients presenting with the markers identified in this study. Springer-Verlag, 2011 Antenatal depression nationallicence Screening nationallicence Patient characteristics nationallicence Nausea nationallicence Analgesics nationallicence Alder Judith University Women's Hospital, University of Basel, Spitalstrasse 21, 4031, Basel, Switzerland aut Fink Nadine Children's Hospital, Harvard Medical School, Boston, Hunnewell 2, Rm HU-260.2, 300 Longwood Ave, 02115, Boston, MA, USA aut Urech Corinne University Women's Hospital, University of Basel, Spitalstrasse 21, 4031, Basel, Switzerland aut Hösli Irene University Women's Hospital, University of Basel, Spitalstrasse 21, 4031, Basel, Switzerland aut Bitzer Johannes University Women's Hospital, University of Basel, Spitalstrasse 21, 4031, Basel, Switzerland aut Archives of Gynecology and Obstetrics Springer-Verlag 284/6(2011-12-01), 1403-1409 0932-0067 284:6<1403 2011 284 404 https://doi.org/10.1007/s00404-011-1872-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-011-1872-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Alder Judith University Women's Hospital, University of Basel, Spitalstrasse 21, 4031, Basel, Switzerland aut NATIONALLICENCE 700 1- Fink Nadine Children's Hospital, Harvard Medical School, Boston, Hunnewell 2, Rm HU-260.2, 300 Longwood Ave, 02115, Boston, MA, USA aut NATIONALLICENCE 700 1- Urech Corinne University Women's Hospital, University of Basel, Spitalstrasse 21, 4031, Basel, Switzerland aut NATIONALLICENCE 700 1- Hösli Irene University Women's Hospital, University of Basel, Spitalstrasse 21, 4031, Basel, Switzerland aut NATIONALLICENCE 700 1- Bitzer Johannes University Women's Hospital, University of Basel, Spitalstrasse 21, 4031, Basel, Switzerland aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 284/6(2011-12-01), 1403-1409 0932-0067 284:6<1403 2011 284 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer